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Home My WebLink About231774 04/23/14 ♦i�C,AM t _ CITY OF CARMEL, INDIANA VENDOR: 364085 ONE CIVIC SQUARE MADISON COUNTY COUNCIL OF GOVT§HECK AMOUNT: S"""""340.00' �� ,'o 16 E 9TH STREET CHECK NUMBER: 231774 CARMEL, INDIANA 46032 'M<.o��o:� ANDERSON IN 46016 CHECK DATE: 04/23/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4357004 340.00 EXTERNAL INSTRUCT FEE ANNUAL . MEETING INVOICE *Multiple registrants from one community/organization can submit a single check for total payment. However, please include an invoice for each individual registered for the Annual MS4 Meeting. Make checks payable to: Madison County Council of Governments MCCOG TID#0002012189 Mail checks and a copy of the invoice to: Attn: Jan Ford—2014 Indiana Annual MS4 Meeting Madison County Council of Governments 16 E. 9" St. Anderson, IN 46016 Questions: Phone: 765.641.9482 jford@mccog.net PO/Check# Date 411-qvi Description 2014 Annual MS4 Meeting Registration— May 13`", 2014 Issued for(insert registrant names, address and contact information here): 0^e .'v; -1fvwe- Cwr,e, I) Wil) y6 03 Z 5-7t- 2 yY� Re-istrant Nance Description Amount Due Conference Registration $85.00 Total $85.00 ANNUAL ° $. S4 MEETING INVOICE *Multiple registrants from one community/organization can submit a single check for total payment. However, please include an invoice for each individual registered for the Annual MS4 Meeting. Make checks payable to: Madison County Council of Governments MCCOG TID#0002012189 Mail checks and a copy of the invoice to: Attn: Jan Ford—2014 Indiana Annual MS4 Meeting Madison County Council of Governments 16 E. 9t" St. Anderson, IN 46016 Questions: Phone: 765.641.9482 jford@mccog.net PO/Check# Date Description 2014 Annual MS4 Meeting Registration— May 13`", 2014 Issued for(insert registrant names, address and contact information here): Orle- 6,0 Sf„Are- G',-r 4/ ;�:V Vl o3 L 317- s7/- 1'/V1 Registrant Name Description Amount Due S ON Conference Registration $85.00 Total $85.00 v ANNUAL MS4 MEETING INVOICE *Multiple registrants from one community/organization can submit a single check for total payment. However, please include an invoice for each individual registered for the Annual MS4 Meeting. Make checks payable to: Madison County Council of Governments MCCOG TID#0002012189 Mail checks and a copy of the invoice to: Attn: Jan Ford—2014 Indiana Annual MS4 Meeting Madison County Council of Governments 16 E. 91h St. Anderson, IN 46016 Questions: Phone: 765.641.9482 jford@mccog.net PO/Check# Date Description 2014 Annual MS4 Meeting Registration— May 13th, 2014 Issued for(insert registrant names, address and contact information here): Z�y� Registrant Name Description Amount Due Conference Registration $85.00 Total $85.00 ANNUAL MS4 MEETING INVOICE *Multiple registrants from one community/organization can submit a single check for total payment. However, please include an invoice for each individual registered for the Annual MS4 Meeting. Make checks payable to: Madison County Council of Governments MCCOG TID#0002012189 Mail checks and a copy of the invoice to: Attn: Jan Ford—2014 Indiana Annual MS4 Meeting Madison County Council of Governments 16 E. 9" St. Anderson, IN 46016 Questions: Phone: 765.641.9482 jford@mccog.net PO/Check# Date Description 2014 Annual MS4 Meeting Registration— May 13th, 2014 Issued for(insert registrant names, address and contact information here): Z- 3/7-s Ly4// Re istrant Name Description Amount Due Conference Registration $85.00 Total $85.00 Prescribed by Stale Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Madison County Council of Governments Purchase Order No. 16 E. 9th Street Terms Anderson, IN 46016 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 4/18/2014 0 MS4 Meeting-Alex Jordan $ 85.00 4/18/2014 0 MS4 Meeting-Kurt Anderson $ 85.00 4/18/2014 0 MS4 Meeting -John Thomas $ 85.00 4/18/2014 0 MS4 Meeting -Jeremy Kashman $ 85.00 Total $ 340.00 1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NC WARRANT NO. Madison County Council of Governments ALLOWED 20 16 E. 9th Street IN SUM OF $ Anderson, IN 46016 $ 340.00 ON ACCOUNT OF APPROPRIATION FOR Board Members . PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 0 2200-4357004 $ 85.00 or bill(s) is (are)true and correct and that the materials or services itemized thereon for 0 0 2200-4357004 $ 85.00 which charge is made were ordered and 0 0 2200-435700,.$ 85.00 received except 0 0 2200-435700 $ 85.00 4/21/2014 ignature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway'fund